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KMID : 0385920080190020200
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Journal of the Korean Society of Emergency Medicine
2008 Volume.19 No. 2 p.200 ~ p.204
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A Clinical Analysis of 179 Cases of Centipede Bite Patients Who Visited the Emergency Department in Korea
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Kwon Cheong-Hoon
Seol Seung-Hwan
Choi Sang-Chun
Kim Gi-Woon
Yuh Hyun-Chul
Yang Sung-Won
Chung Jae-Bong
Jung Jong-Do
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Abstract
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Purpose: To investigate the epidemiology and clinical characteristics of centipede bite injuries.
Methods: We conducted a retrospective study of clinical manifestations in patients who were identified between April 2005 to April 2007 as having suffered from centipede bites. Factors evaluated included sex, age, location and time of
bite, part of body affected, clinical signs and symptoms, treatment modalities and complications.
Results: A total of 179 cases of centipede bite were identified. Centipede bites occurred between spring and autumn. 69.3% of bites happened at night. All patients were bitten on an exposed body parts, and the digit of both the hands and feet were the sites most often involved. Pain, swelling, erythema were the most frequent symptoms and signs.
Most cases showed minor manifestations but, three patients needed to be admitted because of anaphylaxis.
Conclusion: Centipede bites are relatively common in the summer season in rural and island areas, especially at
night. Though the clinical symptoms of centipede bites are generally minor symptoms, emergency physicians need to
possess accurate knowledge of the clinical manifestations in order to properly identify severe cases.
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KEYWORD
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Arthropods, Bites and Stings, Anaphylaxis
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